Painless nodules over joints with ulceration

Department of Medicine, People’s College of Medical Sciences, Bhopal, India

Correspondence to Rakesh Biswas, rakesh7biswas{at}gmail.com

Description

A 30-year-old male presented with swellings over left elbow, left ankle, base of the first meta-tarso-phalangeal joint of
both feet (figures 1–3). He had ulcers over swelling of right meta-tarso-phalangeal joint and dorsum of same foot since 3
months. He also had polyuria and low-grade fever since 6 months. There was a chalky white discharge from the ulcers, which
on examination under polarised microscope showed large number of needle shaped crystals with negative …